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Trial for reducing weight retention in new mums: a randomised controlled trial evaluating a low intensity, postpartum weight management programme

Wilkinson, S.A., van der Pligt, P., Gibbons, K.S. and McIntyre, H.D. 2015, Trial for reducing weight retention in new mums: a randomised controlled trial evaluating a low intensity, postpartum weight management programme, Journal of human nutrition and dietetics, vol. 28, no. s1, Special issue : pregancy infancy and childhood, pp. 15-28, doi: 10.1111/jhn.12193.

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Title Trial for reducing weight retention in new mums: a randomised controlled trial evaluating a low intensity, postpartum weight management programme
Author(s) Wilkinson, S.A.
van der Pligt, P.
Gibbons, K.S.
McIntyre, H.D.
Journal name Journal of human nutrition and dietetics
Volume number 28
Issue number s1
Season Special issue : pregancy infancy and childhood
Start page 15
End page 28
Total pages 14
Publisher Wiley-Blackwell
Place of publication Chichester, Eng.
Publication date 2015-01
ISSN 1365-277X
Keyword(s) behaviour change
health service delivery
obesity
overweight
postpartum
weight management
Adult
Body Mass Index
Breast Feeding
Diet
Female
Health Behavior
Humans
Patient Dropouts
Postnatal Care
Postpartum Period
Pregnancy
Program Evaluation
Weight Loss
Young Adult
Science & Technology
Life Sciences & Biomedicine
Nutrition & Dietetics
Summary BACKGROUND: Failure to return to pregnancy weight by 6 months postpartum is associated with long-term obesity, as well as adverse health outcomes. This research evaluated a postpartum weight management programme for women with a body mass index (BMI) > 25 kg m(-2) that combined behaviour change principles and a low-intensity delivery format with postpartum nutrition information. METHODS: Women were randomised at 24-28 weeks to control (supported care; SC) or intervention (enhanced care; EC) groups, stratified by BMI cohort. At 36 weeks of gestation, SC women received a 'nutrition for breastfeeding' resource and EC women received a nutrition assessment and goal-setting session about post-natal nutrition, plus a 6-month correspondence intervention requiring return of self-monitoring sheets. Weight change, anthropometry, diet, physical activity, breastfeeding, fasting glucose and insulin measures were assessed at 6 weeks and 6 months postpartum. RESULTS: Seventy-seven percent (40 EC and 41 SC) of the 105 women approached were recruited; 36 EC and 35 SC women received a programme and 66.7% and 48.6% completed the study, respectively. No significant differences were observed between any outcomes. Median [interquartile range (IQR)] weight change was EC: -1.1 (9.5) kg versus SC: -1.1 (7.5) kg (6 weeks to 6 months) and EC: +1.0 (8.7) kg versus SC: +2.3 (9) kg (prepregnancy to 6 months). Intervention women breastfed for half a month longer than control women (180 versus 164 days; P = 0.10). An average of 2.3 out of six activity sheets per participant was returned. CONCLUSIONS: Despite low intervention engagement, the high retention rate suggests this remains an area of interest to women. Future strategies must facilitate women's engagement, be individually tailored, and include features that support behaviour change to decrease women's risk of chronic health issues.
Language eng
DOI 10.1111/jhn.12193
Field of Research 111104 Public Nutrition Intervention
1111 Nutrition And Dietetics
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2013, The British Dietetic Association
Persistent URL http://hdl.handle.net/10536/DRO/DU:30080300

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.